| NPI | 1710136890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYSTON Controller 212-273-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: NY 6113310) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2009-08-18 |